Individual
MRS. MELISSA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
13909 FLORIDA BLVD, LIVINGSTON, LA 70754-6340
(225) 686-3052
Mailing address
24428 OMA HARRIS LN, DENHAM SPRINGS, LA 70726-6731
(225) 892-2401
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
07290
LA
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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